Medical & Surgical Urology
Open Access
ISSN: 2168-9857
+44-20-4587-4809
ISSN: 2168-9857
+44-20-4587-4809
Ibraheem Malkawi
Ann Arbor, Michigan
Tanzania
Research Article
Direct Visual Internal Urethrotomy after Failed Bulbar Urethroplasty
Author(s): Jonathan N Warner, Min S Jun, Ibraheem Malkawi and Richard A SantucciJonathan N Warner, Min S Jun, Ibraheem Malkawi and Richard A Santucci
Introduction: Ideal management of failed bulbar urethroplasty is ill defined. The role of direct visual internal urethrotomy (DVIU) as salvage treatment for failed urethroplasty warrants exploration.
Material and methods: Patients who failed urethroplasty (buccal or anastomotic) for bulbar urethral stricture from April 2000-April 2013 were reviewed. Demographics, prior treatments, stricture length, and operative approach were evaluated for risk of salvage DVIU failure.
Results: Forty-five patients underwent 11 anastomotic and 34 buccal mucosal urethroplasties. Mean stricture length was 3.9cm (0.5- 9cm), mean follow-up was 40 months (12-160 months) and mean time to failure was 20 months (1-133 months). Upon failure, 4 patients underwent redo urethroplasty, and 41 underwent DVIU. Patients treated with immediate redo .. View More»
DOI:
10.4172/2168-9857.1000154